Stay Ahead of Compliance with Monthly Citation Updates


In your State Survey window and need a snapshot of your risks?

Survey Preparedness Report

One Time Fee
$79
  • Last 12 months of citation data in one tailored report
  • Pinpoint the tags driving penalties in facilities like yours
  • Jump to regulations and pathways used by surveyors
  • Access to your report within 2 hours of purchase
  • Easily share it with your team - no registration needed
Get Your Report Now →

Monthly citation updates straight to your inbox for ongoing preparation?

Monthly Citation Reports

$18.90 per month
  • Latest citation updates delivered monthly to your email
  • Citations organized by compliance areas
  • Shared automatically with your team, by area
  • Customizable for your state(s) of interest
  • Direct links to CMS documentation relevant parts
Learn more →

Save Hours of Work with AI-Powered Plan of Correction Writer


One-Time Fee

$49 per Plan of Correction
Volume discounts available – save up to 20%
  • Quickly search for approved POC from other facilities
  • Instant access
  • Intuitive interface
  • No recurring fees
  • Save hours of work
NY State Tag

Failure to Timely Process Criminal History Checks

Williamsville, New York Survey Completed on 12-06-2024

Penalty

No penalty information released
tooltip icon
The penalty, as released by CMS, applies to the entire inspection this citation is part of, covering all citations and f-tags issued, not just this specific f-tag. For the complete original report, please refer to the 'Details' section.

Summary

The facility failed to ensure that criminal history information was requested, received, reviewed, and acted upon in a timely manner for Employee #3, a Housekeeping Aide. According to New York State Part 402: Criminal History Record Check, each provider must ensure timely processing of criminal history information. However, Employee #3's personnel file lacked documentation of fingerprinting and submission of fingerprint information to the Criminal History Record Check Legal Review Unit. The employee worked for 83 days without this compliance, from August 14, 2024, to December 4, 2024. The deficiency arose due to issues with the facility's credit card on file with the contractor responsible for digital fingerprinting. The Human Resources Director and Staffing acknowledged the problem, stating that the credit card sometimes worked and sometimes did not, affecting the fingerprinting process. The Administrator was aware of the issue and had been in contact with the contractor since August 5, 2024, to resolve the credit card and contact information issues. Despite multiple emails and attempts to update the information, the process was lengthy, and Employee #3 was not fingerprinted as required.

Plan Of Correction

Plan of Correction: Approved December 30, 2024 1. All employees hired in the past 6 months were audited by HR Directed to ensure all CHRC fingerprinting was completed per policy and procedure for CHRC. Any deficient practices were corrected immediately. Administrator was added for CHRC processing. 2. All residents are at risk for CHRC not being completed per policy. 3. Administrator reviewed policy on CHRC and no changes were made. 4. Administrator educated HR Director of CHRC. 5. Administrator to conduct weekly audits of all new hires and CHRC checks to ensure policy and procedure for CHRC is being followed. Any deficient practices will be corrected and brought to QAPI for further review. Person Responsible: Administrator

An unhandled error has occurred. Reload 🗙